C&S TMC EXAM 3 NEWEST 2025
ACTUAL EXAM WITH NGN FORMAT
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
A 36 weeks gestation, 4 hour post-delivery neonate has the following
ABG results while on a 35% oxyhood:
pH: 7.34
PaCO2: 47 mmHg
PaO2: 57 mmHg
HCO3: 25 mmHg
The RT should recommend: - CORRECT ANSWER-Maintain current
therapy and continue to monitor
A pt with AIDS is to be given treatment for the prevention of
Pneumocystis carinii pneumonia. Which of the following is most
,appropriate therapy for this pt? - CORRECT ANSWER-Pentamidine
(NebuPent) via Respigard once every 4 weeks
An intubated pt is being mechanically ventilated via a volume neb. The
physician has asked the RT to begin weaning the pt. Which of the
following modes would be appropriate? - CORRECT ANSWER-2
(A/C-NO, SIMV-YES, IRV-NO PSV-YES)
An adult pt being treated in the ED is receiving O2 by NC at 5 L/m.
Over the last hour, the pt's respirations have become irregular and
shallow. ABG's show:
pH: 7.24
PaCO2: 86 mmHg
PaO2: 89 mmHg
HCO3: 36
The most appropriate recommendation: - CORRECT ANSWER-
Decrease the O2 liter flow
An RT is asked to assess a pt with history of CO2 retention & air
trapping. The pt complains that he has become increasingly SOB and is
having difficulty coughing up secretions. Upon auscultation, the
therapist notes scattered coarse crackles and an occasional expiratory
wheeze. Most appropriate? - CORRECT ANSWER-Aerosol
bronchodilator with PEP therapy
, 28 week gestation neonate is being manually ventilated following
delivery. Chest excursion is poor despite respiratory ventilation with
high peak pressures. Most appropriate action? - CORRECT
ANSWER-Intubate the patient
Following a traumatic nasal intubation, the pt begins to bleed profusely
from the nasopharynx. The RT should: - CORRECT ANSWER-Keep
the NT tubes cuff inflated and suction pharynx as needed
A pt's PaO2 measured by ABG is 255 mmHg. The analyzer on which the
sample was analyzed is calibrated to a PaO2 of 150 mmHg. Most
acceptable action? - CORRECT ANSWER-Recalibrate the analyzer
to accommodate this unusual value
An adult pt is orally intubated and receiving continuous MV. While
performing a routine cuff pressure measurement, the RT observes
that the cuff pressure monometer's indicator needle continuously
reads zero. No vent alarms are activated and the pt appears to be
resting. The RT should do: - CORRECT ANSWER-Replace cuff
manometer
A pt in ICU requires aggressive fluid and electrolyte replacement
therapy. Implementation of which of the following would be most
ACTUAL EXAM WITH NGN FORMAT
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
A 36 weeks gestation, 4 hour post-delivery neonate has the following
ABG results while on a 35% oxyhood:
pH: 7.34
PaCO2: 47 mmHg
PaO2: 57 mmHg
HCO3: 25 mmHg
The RT should recommend: - CORRECT ANSWER-Maintain current
therapy and continue to monitor
A pt with AIDS is to be given treatment for the prevention of
Pneumocystis carinii pneumonia. Which of the following is most
,appropriate therapy for this pt? - CORRECT ANSWER-Pentamidine
(NebuPent) via Respigard once every 4 weeks
An intubated pt is being mechanically ventilated via a volume neb. The
physician has asked the RT to begin weaning the pt. Which of the
following modes would be appropriate? - CORRECT ANSWER-2
(A/C-NO, SIMV-YES, IRV-NO PSV-YES)
An adult pt being treated in the ED is receiving O2 by NC at 5 L/m.
Over the last hour, the pt's respirations have become irregular and
shallow. ABG's show:
pH: 7.24
PaCO2: 86 mmHg
PaO2: 89 mmHg
HCO3: 36
The most appropriate recommendation: - CORRECT ANSWER-
Decrease the O2 liter flow
An RT is asked to assess a pt with history of CO2 retention & air
trapping. The pt complains that he has become increasingly SOB and is
having difficulty coughing up secretions. Upon auscultation, the
therapist notes scattered coarse crackles and an occasional expiratory
wheeze. Most appropriate? - CORRECT ANSWER-Aerosol
bronchodilator with PEP therapy
, 28 week gestation neonate is being manually ventilated following
delivery. Chest excursion is poor despite respiratory ventilation with
high peak pressures. Most appropriate action? - CORRECT
ANSWER-Intubate the patient
Following a traumatic nasal intubation, the pt begins to bleed profusely
from the nasopharynx. The RT should: - CORRECT ANSWER-Keep
the NT tubes cuff inflated and suction pharynx as needed
A pt's PaO2 measured by ABG is 255 mmHg. The analyzer on which the
sample was analyzed is calibrated to a PaO2 of 150 mmHg. Most
acceptable action? - CORRECT ANSWER-Recalibrate the analyzer
to accommodate this unusual value
An adult pt is orally intubated and receiving continuous MV. While
performing a routine cuff pressure measurement, the RT observes
that the cuff pressure monometer's indicator needle continuously
reads zero. No vent alarms are activated and the pt appears to be
resting. The RT should do: - CORRECT ANSWER-Replace cuff
manometer
A pt in ICU requires aggressive fluid and electrolyte replacement
therapy. Implementation of which of the following would be most
